{
"Npi": {
"NPI": "1487851432",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "PREMIER HOME HEALTH CARE, INC.",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "9010 CORBIN AVE STE 18",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "NORTHRIDGE",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "91324-3377",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "818-477-2712",
"MailingAddressFaxNumber": "818-477-2713",
"FirstLinePracticeLocationAddress": "9010 CORBIN AVE STE 18",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "NORTHRIDGE",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "91324-3377",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "818-477-2712",
"PracticeLocationAddressFaxNumber": "818-477-2713",
"EnumerationDate": "07/02/2007",
"LastUpdateDate": "06/15/2022",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "LANGSTON",
"AuthorizedOfficialFirstName": "TERESITA",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "PRESIDENT/CEO/ ADMINISTRATOR",
"AuthorizedOfficialNamePrefix": "MRS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "MD LICENSED IN THE P",
"AuthorizedOfficialTelephoneNumber": "818-489-0010",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": "550000295",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}